Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Facility		$90.00	$90.00	$90.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $120.00 / $710.85	Professional		$116.00	$120.00	$710.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.72 / $37.61 / $44.22	Facility		$27.72	$37.61	$44.22